Management of sciatic hernia as a unique cause of hip pain: laparoscopic transabdominal preperitoneal (TAPP) repair with LiquiBandFIX8 anchoring technique.

Abstract

Sciatic hernias are the rarest form of pelvic floor hernia and pose significant diagnostic challenge due to their variable presentations. We present a case of an elderly female with progressive right-sided hip pain and an inability to weight-bear, ultimately diagnosed via MRI as a sciatic hernia containing small bowel. A successful laparoscopic transabdominal preperitoneal (TAPP) repair was performed with the mesh fixated and peritoneum closed using the novel device, LiquiBandFIX8. No complications were experienced intraoperatively, and there was full symptom resolution and no recurrence at follow-up. This case highlights the atypical presentation of sciatic hernias and further adds to the existing literature on the management of this condition. Laparoscopic TAPP repair combined with anchoring using LiquiBandFIX8 is a safe and effective treatment option, providing minimal invasiveness and favourable postoperative outcomes. Its use may represent an important advancement in repair of sciatic hernia.